학술논문

What is the role of out of programme clinical fellowships in the era of Shape of Training? A single-centre cohort study.
Document Type
Academic Journal
Author
Raju SA; Division of Clinical Medicine, The University of Sheffield, Sheffield, UK suneilraju@gmail.com.; Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.; Bowker-Howell FJ; Division of Clinical Medicine, The University of Sheffield, Sheffield, UK.; Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.; Aziz I; Division of Clinical Medicine, The University of Sheffield, Sheffield, UK.; Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.; Thoufeeq M; Division of Clinical Medicine, The University of Sheffield, Sheffield, UK.; Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.; Lobo AJ; Division of Clinical Medicine, The University of Sheffield, Sheffield, UK.; Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.; Gleeson DC; Division of Clinical Medicine, The University of Sheffield, Sheffield, UK.; Liver Unit, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.; Al-Joudeh A; Division of Clinical Medicine, The University of Sheffield, Sheffield, UK.; Liver Unit, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.; McAlindon ME; Division of Clinical Medicine, The University of Sheffield, Sheffield, UK.; Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.; Hopper AD; Division of Clinical Medicine, The University of Sheffield, Sheffield, UK.; Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.; Kumar S; Department of Gastroenterology and Hepatology, Doncaster Royal Infirmary, Doncaster, UK.; Sidhu R; Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.; Academic Unit of Gastroenterology, The University of Sheffield, Sheffield, UK.; Sanders DS; Division of Clinical Medicine, The University of Sheffield, Sheffield, UK.; Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Source
Publisher: BMJ Publishing Group Ltd & British Society of Gastroenterology Country of Publication: England NLM ID: 101660690 Publication Model: Electronic Cited Medium: Print ISSN: 2054-4774 (Print) Linking ISSN: 20544774 NLM ISO Abbreviation: BMJ Open Gastroenterol Subsets: MEDLINE
Subject
Language
English
ISSN
2054-4774
Abstract
Background: The updated Shape of Training curriculum has shortened the duration of specialty training. We present the potential role of out of programme clinical fellowships.
Method: An electronic online survey was sent to all current fellows to understand their experiences, training opportunities and motivations.Data were collected on fellows' endoscopic experiences and publications using PubMed for all previous doctors who have completed the Sheffield Fellowship Programme.
Results: Since 2004, 39 doctors have completed the Sheffield Fellowship.Endoscopic experience: current fellows completed a median average of 350 (IQR 150-500) gastroscopies and 150 (IQR 106-251) colonoscopies per year. Fellows with special interests completed either 428 hepato-pancreato-biliary procedures or 70 endoscopic mucosal resections per year.Medline publications: Median average 9 publications(IQR 4-17). They have also received multiple national or international awards and 91% achieved a doctoral degree.The seven current fellows in the new Shape of Training era (57% male, 29% Caucasian, aged 31-40 years) report high levels of enjoyment due to their research projects, supervisory teams and social aspects. The most cited reasons for undertaking the fellowship were to develop a subspecialty interest, take time off the on-call rota and develop endoscopic skills. The most reported drawback was a reduced income.All current fellows feel that the fellowship has enhanced their clinical confidence and prepared them to become consultants.
Conclusion: Out of programme clinical fellowships offer the opportunity to develop the required training competencies, subspecialty expertise and research skills in a supportive environment.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)